Individual
RANDI SUMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
165435
KY
101YP2500X
Professional Counselor
Primary
261125
KY
Other
Enumeration date
04/26/2016
Last updated
08/06/2020
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